Abstract：
The need for urgent or emergent cardiovascular imaging in children is rare when compared to adults. Patients may present from the neonatal period up to adolescence, and may require imaging for both traumatic and non-traumatic causes. In children, coronary pathology is rarely the cause of an emergency unlike in adults where it is the main cause. Radiology, including chest radiography and computed tomography in conjunction with echocardiography, often plays the most important role in the acute management of these patients. Magnetic resonance imaging can occasionally be useful and may be suitable in more subacute cases. Radiologists\' knowledge of how to manage and interpret these acute conditions including knowing which imaging technique to use is fundamental to appropriate care. In this review, we will concentrate on the most common cardiovascular emergencies in the thoracic region, including thoracic traumatic and non-traumatic emergencies and pulmonary vascular emergencies, as well as acute clinical disorders as a consequence of primary and postoperative congenital heart disease. This review will cover situations where cardiovascular imaging may be acutely needed, and not strictly emergencies only. Imaging recommendations will be discussed according to the different clinical presentations and underlying pathology.
摘要：
与成人相比，儿童很少需要紧急或紧急心血管成像。患者可能从新生儿期到青春期，并且可能需要对创伤性和非创伤性原因进行成像。在儿童中，冠状动脉病理学很少是紧急情况的原因，不像成人是主要原因。放射学,包括胸部X线摄影和计算机断层扫描结合超声心动图，通常在这些患者的急性治疗中起着最重要的作用。磁共振成像有时可能有用，并且可能适用于更多的亚急性病例。放射科医师了解如何管理和解释这些急性疾病，包括了解使用哪种成像技术是适当护理的基础。在这次审查中,我们将专注于胸部最常见的心血管急症，包括胸部外伤性和非外伤性急症和肺血管急症,以及原发性和术后先天性心脏病导致的急性临床疾病。这篇综述将涵盖心血管成像可能急需的情况，而不仅仅是严格的紧急情况。影像学建议将根据不同的临床表现和基础病理进行讨论。
